title: Paracrine effects of transplanted mesothelial cells isolated from temperature-sensitive SV40 large T-antigen gene transgenic rats during peritoneal repair.
abstract: BACKGROUND
  The prevention and restoration of peritoneal damage is a critical mission in peritoneal dialysis (PD). Transplantation of mesothelial cells has been suggested to suppress peritoneal injury during PD. Few studies have examined the efficacy and safety of cell transplantation. We evaluated the paracrine effects of mesothelial transplantation during peritoneal repair using immortalized temperature-sensitive mesothelial cells (TSMCs) in chlorhexidine gluconate (CG)-induced peritoneal fibrosis rats.
  
  
  METHODS
  Continuous-infusion pumps containing 8% CG were placed into the abdominal cavity for 21 days. After the removal of the pumps, the TSMCs were injected into the peritoneal cavity at Day 22 (Tx-1 group) or 29 (Tx-2 group). Morphological findings and mRNA expressions of regeneration-related factors were examined at Days 22, 29 and 35.
  
  
  RESULTS
  Peritoneal thickness was aggravated in the Tx-1 group. Levels of transforming growth factor (TGF)-β, vascular endothelial growth factor (VEGF) and matrix metalloproteinase-2 mRNA in the Tx-1 group at Day 35 were comparable with those at Day 22. The levels of Snail, B-Raf and ERK-1, markers of epithelial to mesenchymal transition and of the RAS/MAPK pathway in the Tx-1 group, were significantly higher than those in the Tx-2 group. TGF-β and VEGF were produced from the transplanted mesothelial cells and the surrounding cells in the Tx-1 group.
  
  
  CONCLUSIONS
  It appears that the paracrine effect of transplanted mesothelial cells during peritoneal repair is associated with its surrounding condition. It is important to determine the most appropriate time for developing peritoneal repair through mesothelial transplantation.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Juntendo University, Tokyo, Japan.
authors.forename: Reo
authors.initials: R
authors.lastname: Kanda
authors.forename: Chieko
authors.initials: C
authors.lastname: Hamada
authors.forename: Kayo
authors.initials: K
authors.lastname: Kaneko
authors.forename: Takanori
authors.initials: T
authors.lastname: Nakano
authors.forename: Keiichi
authors.initials: K
authors.lastname: Wakabayashi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Hara
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Io
authors.forename: Satoshi
authors.initials: S
authors.lastname: Horikoshi
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Tomino
mesh_terms: D000818:Animals; D000952:Antigens, Polyomavirus Transforming / Q000235:genetics* / Q000378:metabolism; D002460:Cell Line; D004195:Disease Models, Animal; D004847:Epithelial Cells / Q000166:cytology / Q000637:transplantation; D058750:Epithelial-Mesenchymal Transition; D005786:Gene Expression Regulation; D007150:Immunohistochemistry; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D019899:Paracrine Communication / Q000235:genetics*; D010530:Peritoneal Dialysis; D056627:Peritoneal Fibrosis / Q000378:metabolism / Q000517:prevention & control / Q000628:therapy*; D010537:Peritoneum / Q000378:metabolism / Q000473:pathology; D012313:RNA / Q000235:genetics; D051381:Rats; D017207:Rats, Sprague-Dawley; D055647:Rats, Transgenic; D060888:Real-Time Polymerase Chain Reaction; D033581:Stem Cell Transplantation; D013696:Temperature
chemical_list: D000952:Antigens, Polyomavirus Transforming; D012313:RNA
keywords: EPS; mesothelial cells; peritoneal dialysis; peritoneal injury; transplantation